STACEY ANNE ROEBKEN FNP-C
NPI 1376146472
Nurse Practitioner - Family in Pewaukee, WI

Active since November 19, 2020PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
N51W24953 LISBON RD, PEWAUKEE, WI 53072(262) 532-8691 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Oct 12, 2022, Aug 10, 2022 and 3 more (6 updates tracked since 2020).

About Stacey Anne Roebken Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY ANNE ROEBKEN FNP-C (NPI 1376146472) is an individual family provider in Pewaukee, Wisconsin, licensed in Wisconsin (10470-33) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376146472
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY ANNE ROEBKENCredential: FNP-C
Location AddressN51W24953 LISBON RDPewaukee, WI 53072-1403
Mailing AddressN51w24953 Lisbon RdPewaukee, WI 53072-1403 · (262) 532-8691
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 19, 2020
Last NPPES UpdateJune 5, 20246 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
NPI 1376146472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 10470-33
N51W24953 LISBON RD, Pewaukee, WI 53072

Secondary Practice Locations 2

Location 11650 N Farwell AveMilwaukee, WI 53202-2331 · Phone (414) 277-5054
Location 21411 N Taylor DrSheboygan, WI 53081-3043 · Phone (920) 272-3321

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacey Anne Roebken Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618366832
PECOS Enrollment IDI20211109003461
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53072 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
N51W24953 LISBON RD
PEWAUKEE, WI 53072
Pharmacy (Community/Retail Pharmacy)
N51W24953 LISBON RD
PEWAUKEE, WI 53072
Pharmacist
N51W24953 LISBON RD
PEWAUKEE, WI 53072
Pharmacist
N51W24953 LISBON RD
PEWAUKEE, WI 53072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Roebken's NPI number?

The NPI number for Stacey Roebken is 1376146472. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Where is Stacey Roebken located?

Stacey Roebken practices at N51w24953 Lisbon Rd, Pewaukee, WI 53072. The listed phone number is (262) 532-8691.

What is Stacey Roebken's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacey Roebken enrolled in Medicare?

Yes. Stacey Roebken is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stacey Roebken was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.